Keith W Cowhey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58482 Issued in CA

Practice address

17692 Beach Blvd
Suite # 205
Huntington Beach, CA 92647-6837

Phone

(714) 842-2549

NPI assigned

Jul 23, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 24, 2016 through Feb 24, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keith W. Cowhey, DDS, Inc

  • Dental Clinic/Center
  • Seal Beach, CA
  • NPI 1134510431
  NPD (past) Authorized official
• James H. Blake, D.D.S., Inc.

  • General Practice Dentistry
  • Seal Beach, CA
  • NPI 1427064815
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1457581571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17692 BEACH BLVD",
            "address_2": "SUITE # 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17692 BEACH BLVD",
            "address_2": "SUITE # 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476837",
            "telephone_number": "714-842-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWHEY",
        "first_name": "KEITH",
        "middle_name": "W",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabela Coura Lessa
• Lia Courbage
• Justin Singh Courtney, AMFT
• Theodore Coutsoftides, MD
• Amber Covarrubias
• Kenna Cowper
• Cox Professional Dental Corporation
• Christina Coyle
• Maddie Coyle
• Craig M Carlson

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.